Individual
BRANDON PENZENIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, APRN,FNP-BC
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28216044C
IN
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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